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Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse work assignments are varied ..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..
... Intern - Care Manager, Registered Nurse, RN performs varied activities moderately ... Intern - Care Manager, Registered Nurse, RN, will utilize Humana's Florida ... action. The Care Manager, Telephonic..
DescriptionLend direction as well as a caring attitude. Bring a smile and your vital knowledge to everyone every day. Brighten prospects for patients and your career. Connect with your goals and ..
PURPOSE AND SCOPE:The professional registered nurse Inpatient RN CAP 2 may ... in collaboration with another Registered Nurse.Performs ongoing, systematic collection and analysis ... notifies Supervisor, Physician, patient’s primary nurse..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. Responsibilities ..
Job Information Humana Care Manager, Telephonic Nurse 2 - Puerto Rico only in San Juan Puerto Rico Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates ..
PURPOSE AND SCOPE:Supports the Organization mission, vision, core values and customer service philosophy. Adheres to the Organization Compliance Program, including following all regulatory and Organization policy requirements. Provides direct nursing care ..
Job Information Humana Manager, Care Management/HMS (RN FULLY BILINGUAL with supervisory and Clinical exp) San Juan, PR in San Juan Puerto Rico Description The Manager, Care Management leads teams of nurses ..
PURPOSE AND SCOPE:Supports the training and education of employees based in company facilities and programs within an assigned geographical area. Delivers standardized, competency based, training and development programs including new employee ..
... Humana RN Care Manager, Telephonic Nurse (Bilingual) - Puerto Rico in ... English. The Care Manager, Telephonic Nurse works in a telephonic environment. ... wellbeing. The Care Manager, Telephonic..
PURPOSE AND SCOPE:The Inpatient RN provides direct patient care in accordance to company policies and procedures which includes FMCNA compliance programs and contracted hospitals’ policies and procedures. Areas of practice are ..
... Information Humana Care Manager, Telephonic Nurse 2 (Fully Bilingual RN with ... Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... members. The Care Manager, Telephonic..
Job Information Humana RN Manager, Care Management/HMS (FULLY BILINGUAL English/Spanish) in San Juan Puerto Rico Description The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in San Juan Puerto Rico Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews ..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
DescriptionLend direction as well as a caring attitude. Bring a smile and your vital knowledge to everyone, every day. Brighten prospects for patients and your career. Connect with your goals and ..
